SCALE Wounds: Unavoidable Pressure Injury

Skin Changes at Life’s End (SCALE) wounds include wounds of many underlying etiologies that accompany the dying process. These wounds occur due to unmodifiable intrinsic and extrinsic factors unique to each individual. The wound may present as classic pressure ulcers, deep tissue injury, unavoidable pressure injury, ischemic wounds, mottling or tumors – essentially a whole range of wound types that appear in people who are in the dying process.